Individual
AVERY VICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5154 W SUNSET BLVD, LOS ANGELES, CA 90027-5708
(323) 663-3951
Mailing address
437 S HILL ST APT 834, LOS ANGELES, CA 90013-2765
(443) 641-4274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT22803
CA
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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